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Immuno test 10-13
| Question | Answer |
|---|---|
| A serological reaction is set up in which the antigen is bound to a large carrier, the antibody is soluble, and the antigen and carrier bind and form an insoluble complex that is detected macroscopically. What type of assay is described? | Agglutination |
| A serological test that uses red blood cells coated with exogenous antigens such as bacterial polysaccharides as a method to detect patient antibodies against those exogenous antigens is called: | Hemagglutination |
| The process by which particulate antigens such as cells aggregate to form larger complexes when specific antibody is present is; | Agglutination |
| In performing blood typing using the tube method, if the red cell button is not resuspended properly, what are the most likely results? | false positive |
| When a patient's red blood cells combine with anti-A typing serum to produce a positive result, this reaction is known as: | Hemagglutination |
| When carrier particles are coated with an antigen that is not normally found on them this is known as; | Passive Agglutination |
| Which antibody class may require the use of an enhancement technique to visualize the reaction? | IgG |
| Coombs reagent is used for: | to enhance agglutination with igG coated red cells |
| Which antibody has the highest avidity for an antigen | Secretory IgA |
| The law of mass action states: | free reactants are in equilibrium with bound reactants |
| Based on the following equilibrium constants which assay would have the best sensitivity? | The one with the highest k value |
| The assembly of particles into visible clumps is called; | Agglutination |
| The production of insoluble complexes that absorb or scatter light but are too small to see directly is called: | Precipitation |
| What should you do if a serum sample does not cause agglutination when mixed with a particular antigen? | test a more diluted sample to overcome possible prosome effects |
| The measurement of light scattered at an angle by the antigen-antibody complexes in a solution is: | Nephelometry |
| Rate nephelometry measures the change in what factor over time? | antigen-antibody complex formation |
| What is the process where an antibody is uniformly distributed in a gel and antigen is added to a well cut into the gel? | single diffusion |
| A radial immunodiffusion test is ran for 72 hours. The concentration of the antigen is then calculated using; | square of the diameter of the precipitation rings |
| The end-point radial immunodiffusion assay: | is read after Antigen-antibody equivalence is reached |
| In immunofixation electrophoresis, antibody is; | applied on the top surface of the gel |
| The antibody isotype that most effectively overcomes the electrostatic repulsion between particles in agglutination reaction: | IgM |
| Characteristics of a passive agglutination test: | Ag molecules are artificially bound to particles |
| What's true of a reverse agglutination test? | Antibody is attached to particles |
| What best characterizes agglutination inhibition reactions? | No, agglutination indicates a positive result |
| Describe hemagglutinin tests. | involves clumping of red cells |
| The particle-counting immunoassay method counts; | number of free latex particles |
| In an Ouchterlony immunodiffusion pattern shows an arc between antigens A and B with an extended line pointing to antigen B, this indicates that the antigens; | share a common epitope, with A being a more complex antigen |
| If crossed lines results in an Ouchterlony immunodiffusion reaction with antigens A and B, this indicates that antigens A and B: | are entirely different |
| The affinity of antigen-antibody binding is influenced by: | how well the antigen fits into the binding FAB site. |
| A patient's serum sample is added to a solution containing particulate antigen, but no agglutination is observed. What should be done? | perform serial dilutions of the sample |
| The visibility of an agglutination reaction involving IgG can be enhanced by adjusting: | adding anti-human FC |
| What is meant by "gating" in flow cytometry? | electronic window separating subpopulations of cells |
| a mature cytotoxic T cell expressed which markers? | CD8, CD3, CD2 |
| An intrinsic parameter that can be measured by a flow cytometer is | granularity |
| As measured in flow cytometry, cells that are the smallest and have the least granules would be identified as: | lymphocytes |
| In most flow cytometers, labeled cells: | scatter the light and emit fluorescence |
| the expression of cell surface markers is determined in the flow cytometer by; | fluorescence |
| If an Ouchterlony immunodiffusion pattern shows an arc equidistant between antigens A and B, this indicates that the antigens: | are serologically identical |
| In flow cytometry, if there are two detectors, what does the amount of side scatter indicate? | granularity of the cell |
| Identify the difference between batch and random-access analyzers | Batch analyzers only do 1 type of analysis |
| A test system is producing many false positive results. The problem might involve: | Analytic specificity |
| The lowest measurable amount of an analyte is: | Analytic sensitivity |
| The reference interval is determined by: | measuring an analyte in samples from a large number of healthy people using the same instrument or test system |
| In flow cytometry, the sheath fluid: | draws the suspended cells into a laminar flow |
| Describe the reportable range: | span of test result values over whcih the lab can establish or verify the accuracy of an instrument or test sytem. |
| ligh signal in flow cytometry that provides information about a cell's intrinisic physical characteristics; | scattered light |
| Light signal in flow cytometry that could be used to provide information about the expression of a protein on the outer surface of a cell membrane | red light emitted by phycoeryhrin |
| Fluorescently labeled antibodies are used in flow cytometry to: | determine proteins associated with a cell |
| advantages of automated testing in a clinical immunology laboratory: | reduces turn-around times (TATs) |
| Disadvantages of automated testing in a clinical immunology laboratory; | increases dependency on a single machine |
| Hydrodynamic focusing in flow cytometry refers to; | alignment of cells flowing past laser beams |
| A fluorescent signal in flow cytometry is generated by; | fluorochromes that absorb energy from a laser beam and than releases the energy as longer wavelength slides |
| In flow cytometry, it is possible to detect the expression of 10 different cell membrane proteins simultaneously by | staining the cells |
| fluorescence in flow cytometry is usually used to determine; | extrinsic cell parameters |
| In flow cytometry, forward scatter provides a measure of: | cell size |
| A single cell parameter acquired by flow cytometry is presented graphically as; | histogram |
| flow cytometry is commonly used to; | determine the stage of leukocyte differentiation |
| how close a measured value is to the actual (true) value is called | accuracy |
| the ability to consistently reproduce the same result on repeated testing of the same sample is; | precision |
| What does EIA stand or? | enzyme immunoassay |
| antihumanglobin test is also known as | Coombs |
| IgG is best tested at | 37 degrees Celsius |